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Form W-4S, Request for Federal Income Tax Withholding From Sick Pay

Give this form to the third-party payer of your sick pay, such as an insurance company, if you want federal income tax withheld from the payments.

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All Form W-4S Revisions

Form W-2, Wage and Tax Statement

Publication 505, Tax Withholding and Estimated Tax

Form 1040, U.S. Individual Income Tax Return

Form 1040-ES, Estimated Tax for Individuals

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Comment on Form W-4S

Use the Comment on Tax Forms and Publications web form to provide feedback on the content of this product. Although we cannot respond individually to each comment, we do appreciate your feedback and will consider all comments submitted.

CAUTION: We cannot respond to tax-related questions submitted using this page. Instead, please see our Tax Law Questions page.

Page Last Reviewed or Updated: 23-Aug-2016